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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TAMBRANDS MANUFACTURING, INC TAMPAXTAMPONSRADIANTRADIANTSUPERUNSCNT28CT; TAMPON, MENSTRUAL, UNSCENTED - HEB

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TAMBRANDS MANUFACTURING, INC TAMPAXTAMPONSRADIANTRADIANTSUPERUNSCNT28CT; TAMPON, MENSTRUAL, UNSCENTED - HEB Back to Search Results
Lot Number 5097243005 64 00:31
Medical Device Problem Code No Apparent Adverse Event (3189)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Product investigation is in progress.
 
Event or Problem Description
Defective string.String was frayed and snapped at the bottom- tampon [device breakage].Case narrative: consumer reported via e-mail that the tampon had a defective string that frayed and snapped at the bottom.No injury reported.
 
Additional Manufacturer Narrative
No failure could be identified as a result of the investigation.
 
Event or Problem Description
Defective string.String was frayed and snapped at the bottom-tampon [device breakage].Case narrative: consumer reported via e-mail that the tampon had a defective string that frayed and snapped at the bottom.No injury reported.
 
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Brand Name
TAMPAXTAMPONSRADIANTRADIANTSUPERUNSCNT28CT
Common Device Name
TAMPON, MENSTRUAL, UNSCENTED - HEB
Manufacturer (Section D)
TAMBRANDS MANUFACTURING, INC
2879 hotel rd
auburn 04210
Manufacturer (Section G)
TAMBRANDS MANUFACTURING, INC
2879 hotel rd
auburn 04210
Manufacturer Contact
manager affairs,feminine care
winton hill business center b
6280 center hill avenue
cincinnati 45224
MDR Report Key22530511
Report Number1219109-2025-00211
Device Sequence Number7426112
Product Code HEB
UDI-Device Identifier00073010713116
UDI-Public(01)00073010713116
Combination Product (Y/N)Y
Initial Reporter CountryUS
PMA/510(K) Number
K110669
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 08/06/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Lot Number5097243005 64 00:31
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer Not provided
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date07/17/2025
Supplement Report FDA Received Date08/19/2025
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient Age36 YR
Patient SexFemale
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